Prognostic significance of portal hemodynamics in patients with compensated cirrhosis.

Abstract:

:The prognostic value of portal hemodynamics, measured by pulsed echo-Doppler, was prospectively evaluated, together with clinical, biochemical and endoscopic parameters, in a series of 50 consecutive patients with compensated cirrhosis. After a mean follow-up of 6 years, 25 patients had died, all from complications of liver disease. Among conventional variables, the step-wise Cox model showed that only the Child-Pugh score independently predicted death (chi 2 = 18.66; p < 0.001). When hemodynamic parameters were added to the Child-Pugh score in the same model, portal blood velocity was shown to add prognostic significance (improvement in chi 2 = 14.06; p = 0.0002; Wald test). The present study shows that a portal blood velocity below the lower limit of controls (10 cm/s) characterizes patients with shorter survival, and suggests that this non-invasive parameter should be associated to the Child-Pugh score in the evaluation of patients with cirrhosis.

journal_name

J Hepatol

journal_title

Journal of hepatology

authors

Zoli M,Iervese T,Merkel C,Bianchi G,Magalotti D,Marchesini G,Gatta A,Pisi E

doi

10.1016/s0168-8278(05)80521-5

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

56-61

issue

1

eissn

0168-8278

issn

1600-0641

pii

S0168-8278(05)80521-5

journal_volume

17

pub_type

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